Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Buttles, OTR/L

Individual provider Occupational Therapist · NPI 1174227862

Mackenzie Buttles, OTR/L is an Occupational Therapist in Private Practice in Wisconsin Rapids, Wisconsin. Qualified in 2022, 4 years ago. Practices with Pinnacle Performance Therapy LLC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone: (715) 423-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1174227862
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address541 Barnum Bay Trl, Nekoosa, WI 54457-9167

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pinnacle Performance Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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